Microbial contamination of nebulizers in the home treatment of cystic fibrosis

Child: Care, Health and Development

Volumn 33, Issue 4, 2007, Pages 491-495

  Blau, Hannah ^a,b   Mussaffi, H ^a,b   Mei Zahav, M ^a,b   Prais, D ^a,b   Livne, M ^a,b   Czitron, B M ^c   Cohen, H A ^b,d  

^a SCHNEIDER CHILDREN S MEDICAL CENTER OF ISRAEL   (Israel)

^b TEL AVIV UNIVERSITY   (Israel)

^c CLALIT HEALTH SERVICES   (Israel)

^d Pediatric Ambulatory Center   (Israel)

Author keywords

Bacterial contamination; Cystic fibrosis; Nebulizers; Pseudomonas aeruginosa

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ASPERGILLUS; BACTERIUM CULTURE; BACTERIUM ISOLATION; CHILD; CLEANING; CLINICAL ARTICLE; CONTROLLED STUDY; CYSTIC FIBROSIS; FUNGUS CULTURE; HOME CARE; HUMAN; INFANT; INTERVIEW; MEDICAL NEBULIZER; MICROBIAL CONTAMINATION; PRIORITY JOURNAL; PSEUDOMONAS AERUGINOSA; RESPIRATORY TRACT INFECTION; SPUTUM CULTURE;

CYSTIC FIBROSIS; EQUIPMENT CONTAMINATION; HUMANS; NEBULIZERS AND VAPORIZERS; PATIENT EDUCATION AS TOPIC; PSEUDOMONAS AERUGINOSA;

EID: 34250341797     PISSN: 03051862     EISSN: 13652214     Source Type: Journal    
DOI: 10.1111/j.1365-2214.2006.00669.x     Document Type: Article

References (17)

1. Armstrong, D. S., Grimwood, K., Carzino, R., Carlin, J. B., Olinsky, A. & Phelan, P. D. (1995) Lower respiratory infection and inflammation in infants with newly diagnosed cystic fibrosis. British Medical Journal, 310, 1571-1572.
2. Burdge, D. R., Nakielna, E. M. & Noble, M. A. (1993) Case-control and vector studies of nosocomial acquisition of Pseudomonas cepacia in adult patients with cystic fibrosis. Infection Control and Hospital Epidemiology, 14, 127-130.
3. Burns, J. L., Gibson, R. L., McNamara, S., Yim, D., Emerson, J., Rosenfeld, M., Hiatt, P., McCoy, K., Castile, R., Smith, A. L. & Ramsey, B. W. (2001) Longitudinal assessment of Pseudomonas aeruginosa in young children with cystic fibrosis. The Journal of Infectious Diseases, 183, 444-452.
4. Cohen, H. A., Amir, J., Matalon, A., Mayan, R., Beni, S. & Barzilai, A. (1997) Stethoscopes and otoscopes - a potential vector of infection? Family Practice, 14, 446-449.
5. Cohen, H. A., Cohen, Z., Pomeranz, A. S., Czitron, B. & Kahan, E. (2005) Bacterial contamination of spacer devices used by asthmatic children. Journal of Asthma, 42, 169-172.
6. Exner, M., Vogel, F. & Rost, H. D. (1983) Microorganisms in home-care inhalation devices. Deutsche Medizinische Wochenschrift, 198, 12-17.
7. Grieble, H. G., Colton, R., Bird, T. J., Toigo, A. & Griffith, L. G. (1970) Fine-particle humidifiers source of Pseudomonas aeruginosa infections in a respiratory-disease unit. The New England Journal of Medicine, 282, 531-534.
8. Hutchinson, G. R., Parker, S., Pryor, J. A., Duncan-Skingle, F., Hoffman, P. N., Hodson, M. E., Kaufmann, M. E. & Pitt, T. L. (1996) Home-use nebulizers: A potential primary source of Burkholderia cepacia and other colistin-resistant, gram-negative bacteria in patients with cystic fibrosis. Journal of Clinical Microbiology, 34, 584-587.
9. Jakobsson, B. M., Onnered, A. B., Hjelte, L. & Nystrom, B. (1997) Low bacterial contamination of nebulizers in home treatment of cystic fibrosis patients. The Journal of Hospital Infection, 36, 201-207.
10. Mertz, J. J., Scharer, L. & McClement, J. H. (1967) A hospital outbreak of Klebsiella pneumonia from inhalation therapy with contaminated aerosol solutions. American Review of Respiration Disease, 95, 454-460.
11. Olmsted, R. N. (ed.) (1996) APIC Infection Control and Applied Epidemiology. Mosby, St. Louis, MO, USA.
12. Pitchford, K. C., Corey, M., Highsmith, A. K., Perlman, R., Bannatyne, R., Gold, R., Levison, H. & Ford-Jones, E. L. (1987) Pseudomonas species contamination of cystic fibrosis patients' home inhalation equipment. Journal of Pediatrics, 111, 212-216.
13. Rosenfeld, M., Emerson, J., Astley, S., Joy, P., Wiliams-Warren, J., Standaert, T. A., Yim, D. L., Crist, D., Thykkuttathil, M., Torrence, M., FitzSimmons, S. & Ramsey, B. (1998) Home nebulizer use among patients with cystic fibrosis. Journal of Pediatrics, 132, 125-131.
14. Rosenfeld, M., Joy, P., Nguyen, C. D., Krzewinski, J. & Burns, J. L. (2001) Cleaning home nebulizers used by patients with cystic fibrosis: is rinsing with tap water enough? Journal of Hospital Infection, 49, 229-230.
15. Tablan, O. C., Martone, W. J., Doershuk, C. F., Stern, R. C., Thomassen, M. J., Klinger, J. D., White, J. W., Carson, L. A. & Jarvis, W. R. (1987) Colonisation of the respiratory tract with Pseudomonas cepacia in cystic fibrosis. Risk factors and outcomes. Chest, 91, 527-532.
16. Vassal, S., Taamma, R., Marty, N., Sardet, A., d'Athis, P., Bremont, F., Dalphin, M. L., Plesiat, P., Rault, G., Thubert, J., Dominique, S., Lemeland, J. F., Derelle, J., Blech, M. F., Roussey, M., Perrin, M. & Sautegeau, A. (2000) Microbiologic contamination study of nebulizers after aerosol therapy in patients with cystic fibrosis. American Journal of Infection Control, 28, 347-351.
17. Wexler, M. R., Rhame, F. S., Blumenthal, M. N., Cameron, S. B., June, B. A. & Fish, L. A. (1991) Transmission of Gram-negative bacilli to asthmatic children via home nebulizers. Annals of Allergy, 66, 267-271.